Idaho
Division of Occupational and Professional Licenses
LESLIE A LEWIS
Board Of Medicine
License number
PAT-1153
Date granted
01/14/2014
Date expires
03/07/2014
Class
Board Of Medicine
Status
Expired
Address
2424 GROVE ST BAKER CITY OR 97814
idaholicensing.com
ID 48349135
LAST UPDATED 2024-03-13 04:51:31 UTC
LAST UPDATED 2024-03-13 04:51:31 UTC
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